<!DOCTYPE html>
<html lang="zh" xmlns:th="http://www.thymeleaf.org" >
<head>
    <th:block th:include="include :: header('修改患者基本信息')" />
    <th:block th:include="include :: datetimepicker-css" />
    <th:block th:include="include :: select2-css" />
</head>
<body class="white-bg">
    <div class="wrapper wrapper-content animated fadeIn">
        <div class="tabs-container">
            <input type="hidden" id="infoId" th:value="${retPatientInfo?.patiId}">
            <input type="hidden" id="patDiaId" th:value="${diaId}">
            <div >
                <ul class="nav nav-tabs">
                    <li class="active"><a data-toggle="tab" href="#tab-1" aria-expanded="true">患者基本信息</a>
                    </li>
                    <li class="" style="display:none;"><a data-toggle="tab" href="#tab-2" aria-expanded="false">呼吸系统史</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-11" aria-expanded="false">既往史</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-3" aria-expanded="false">既往用药史</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-4" aria-expanded="false">既往就诊记录</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-5" aria-expanded="false">既往急性加重史</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-6" aria-expanded="false">初诊评估</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-7" aria-expanded="false">康复评估</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-8" aria-expanded="false">诊疗计划</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-9" aria-expanded="false">复诊</a>
                    </li>
                    <li class=""><a data-toggle="tab" href="#tab-10" aria-expanded="false">急诊就诊记录</a>
                    </li>
                </ul>
                <div class="tab-content">
                    <div id="tab-1" class="tab-pane active">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patient-edit" th:object="${retPatient}">
                                <input type="hidden" name="id" th:field="*{id}">
                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">登记号：</label>
                                            <div class="col-sm-8">
                                                <input name="patNo" th:field="*{patNo}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">患者姓名：</label>
                                            <div class="col-sm-8">
                                                <input name="patName" th:field="*{patName}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">生日：</label>
                                            <div class="col-sm-8">
                                                <div class="input-group date">
                                                    <input name="patBirth" th:value="${#dates.format(retPatient.patBirth, 'yyyy-MM-dd')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                                    <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">性别：</label>
                                            <div class="col-sm-8">
                                                <select name="patSex" class="form-control m-b" th:with="type=${@dict.getType('sys_user_sex')}">
                                                    <option th:each="dict : ${type}" th:field="*{patSex}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">婚姻：</label>
                                            <div class="col-sm-8">
                                                <select name="patMarriage" class="form-control m-b" th:with="type=${@dict.getType('pat_marriage')}">
                                                    <option th:each="dict : ${type}" th:field="*{patMarriage}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">职业：</label>
                                            <div class="col-sm-8">
                                                <select name="patCareer" tags class="form-control m-b" th:with="type=${@dict.getType('pat_career')}">
                                                    <option th:each="dict : ${type}" th:field="*{patCareer}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                </div>


                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">民族：</label>
                                            <div class="col-sm-8">
                                                <select name="patNation" tags class="form-control m-b" th:with="type=${@dict.getType('pat_nation')}">
                                                    <option th:each="dict : ${type}" th:field="*{patNation}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">户籍：</label>
                                            <div class="col-sm-8">
                                                <select name="patDomicile" tags class="form-control m-b" th:with="type=${@dict.getType('pat_domicile')}">
                                                    <option th:each="dict : ${type}" th:field="*{patDomicile}"  th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">学历：</label>
                                            <div class="col-sm-8">
                                                <select name="patEducation" tags class="form-control m-b" th:with="type=${@dict.getType('pat_education')}">
                                                    <option th:each="dict : ${type}" th:field="*{patEducation}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">医保类型：</label>
                                            <div class="col-sm-8">
                                                <select name="patInsu" tags class="form-control m-b" th:with="type=${@dict.getType('pat_insu')}">
                                                    <option th:each="dict : ${type}" th:field="*{patInsu}" th:text="${dict.dictLabel}" th:value="${dict.dictValue}"></option>
                                                </select>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">身高(cm)：</label>
                                            <div class="col-sm-8">
                                                <input type="text" th:field="*{patHeight}" class="form-control" name="patHeight">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">体重(kg)：</label>
                                            <div class="col-sm-8">
                                                <input type="text" th:field="*{patWeight}" class="form-control" name="patWeight">
                                            </div>
                                        </div>
                                    </div>
                                </div>


                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">身份证：</label>
                                            <div class="col-sm-8">
                                                <input name="patIdCard"  th:field="*{patIdCard}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">电话：</label>
                                            <div class="col-sm-8">
                                                <input name="patTel" th:field="*{patTel}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">联系人：</label>
                                            <div class="col-sm-8">
                                                <input name="patContact" th:field="*{patContact}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                    <div class="col-sm-6">
                                        <div class="form-group">
                                            <label class="col-sm-4 control-label">联系人电话：</label>
                                            <div class="col-sm-8">
                                                <input name="patContactTel" th:field="*{patContactTel}" class="form-control" type="text">
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">地址：</label>
                                    <div class="col-sm-10">
                                        <input name="patAddress" th:field="*{patAddress}" class="form-control" type="text">
                                    </div>
                                </div>


                                <div class="form-group">
                                    <label class="col-sm-2 control-label">诊断：</label>
                                    <div class="col-sm-10">
                                        <textarea name="patDiagnosis" class="form-control" >[[*{patDiagnosis}]]</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">主诉：</label>
                                    <div class="col-sm-10">
                                        <textarea name="patChiefComplaint" class="form-control">[[*{patChiefComplaint}]]</textarea>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">首诊医师：</label>
                                    <div class="col-sm-10">
                                        <input name="patDoctor" th:field="*{patDoctor}" class="form-control" type="text">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-2" class="tab-pane" style="display:none;">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiBreath-edit" >
                                <header class="form-header h4 manZuFei">呼吸系统症状</header>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">咳嗽：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathCough') eq dict.dictValue}"
                                                   th:id="'breathCough'+${dict.dictCode}" name="breathCough" th:value="${dict.dictValue}" >
                                            <label th:for="'breathCough'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">从何时开始出现咳嗽：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="breathCoughDate" th:value="${retPatientInfo?.patiBreath?.get('breathCoughDate')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">咳嗽最重：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathCoughHeavy') eq dict.dictValue}"
                                                   th:id="'breathCoughHeavy'+${dict.dictCode}" name="breathCoughHeavy" th:value="${dict.dictValue}" >
                                            <label th:for="'breathCoughHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <header class="form-header h4 manZuFei">痰液</header>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">痰液：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathSputum') eq dict.dictValue}"
                                                   th:id="'breathSputum'+${dict.dictCode}" name="breathSputum" th:value="${dict.dictValue}" >
                                            <label th:for="'breathSputum'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">痰液：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathSputum"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathSputum')?:'','1')}"
                                            >
                                            正常颜色
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathSputum"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathSputum')?:'','2')}"
                                            >
                                            黏稠
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathSputum"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathSputum')?:'','3')}"
                                            >
                                            稀薄
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathSputum"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathSputum')?:'','4')}"
                                            >
                                            中等
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">每天痰量：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','1')}"
                                            >
                                            5毫升
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','2')}"
                                            >
                                            5~10毫升
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','3')}"
                                            >
                                            15毫升
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','4')}"
                                            >
                                            60毫升
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','5')}"
                                            >
                                            125毫升
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiBreathPhlegmVolume"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiBreath?.get('patiBreathPhlegmVolume')?:'','6')}"
                                            >
                                            250毫升
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">何时：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('patiBreathSputumTime') eq dict.dictValue}"
                                                   th:id="'patiBreathSputumTime'+${dict.dictCode}" name="patiBreathSputumTime" th:value="${dict.dictValue}" >
                                            <label th:for="'patiBreathSputumTime'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <h4 class="form-header h4 manZuFei" > 咯血</h4>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">咯血：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathHemoptysis') eq dict.dictValue}"
                                                   th:id="'breathHemoptysis'+${dict.dictCode}" name="breathHemoptysis" th:value="${dict.dictValue}" >
                                            <label th:for="'breathHemoptysis'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <h4 class="form-header h4 manZuFei" >呼吸困难</h4>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">呼吸困难：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathDyspnea') eq dict.dictValue}"
                                                   th:id="'breathDyspnea'+${dict.dictCode}" name="breathDyspnea" th:value="${dict.dictValue}" >
                                            <label th:for="'breathDyspnea'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">从何时开始出现咳嗽：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="breathDyspneaDate"  th:value="${retPatientInfo?.patiBreath?.get('breathDyspneaDate')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">咳嗽最重：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathDyspneaHeavy') eq dict.dictValue}"
                                                   th:id="'breathDyspneaHeavy'+${dict.dictCode}" name="breathDyspneaHeavy" th:value="${dict.dictValue}" >
                                            <label th:for="'breathDyspneaHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <h4 class="form-header h4 manZuFei" >喘息</h4>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">喘息：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathPant') eq dict.dictValue}"
                                                   th:id="'breathPant'+${dict.dictCode}" name="breathPant" th:value="${dict.dictValue}" >
                                            <label th:for="'breathPant'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">喘息何时最重：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="breathPantDate" th:value="${retPatientInfo?.patiBreath?.get('breathPantDate')}"  class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">咳嗽最重：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathPantHeavy') eq dict.dictValue}"
                                                   th:id="'breathPantHeavy'+${dict.dictCode}" name="breathPantHeavy" th:value="${dict.dictValue}" >
                                            <label th:for="'breathPantHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <h4 class="form-header h4" >呼吸支持</h4>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">呼吸支持?：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathSupport') eq dict.dictValue}"
                                                   th:id="'breathSupport'+${dict.dictCode}" name="breathSupport" th:value="${dict.dictValue}" >
                                            <label th:for="'breathSupport'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是?：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="breathSupportWay1"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathSupportWay') eq '普通氧疗'}" name="breathSupportWay" th:value="普通氧疗" >
                                            <label for="breathSupportWay1">普通氧疗</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="breathSupportWay2"
                                                   th:checked="${retPatientInfo?.patiBreath?.get('breathSupportWay') eq '无创呼吸机'}" name="breathSupportWay" th:value="无创呼吸机" >
                                            <label for="breathSupportWay2">无创呼吸机</label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">开始使用时间：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="breathSupportDate" th:value="${retPatientInfo?.patiBreath?.get('breathSupportDate')}"  class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">氧浓度：</label>
                                    <div class="col-sm-10">
                                        <input name="breathSupportConcentration" th:value="${retPatientInfo?.patiBreath?.get('breathSupportConcentration')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">IPAP(cmH2O)：</label>
                                    <div class="col-sm-4">
                                        <input name="breathSupportIPAP"  th:value="${retPatientInfo?.patiBreath?.get('breathSupportIPAP')}" class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">EPIP(cmH2O)：</label>
                                    <div class="col-sm-4">
                                        <input name="breathSupportEPIP" th:value="${retPatientInfo?.patiBreath?.get('breathSupportEPIP')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">吸氧流量(L/min)：</label>
                                    <div class="col-sm-10">
                                        <input name="breathSupportRate" th:value="${retPatientInfo?.patiBreath?.get('breathSupportRate')}" class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">每天吸氧时间(小时)：</label>
                                    <div class="col-sm-10">
                                        <input name="breathSupportHour" th:value="${retPatientInfo?.patiBreath?.get('breathSupportHour')}" class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">您如何清洁氧疗装置：</label>
                                    <div class="col-sm-10">
                                        <input name="breathSupportClean" th:value="${retPatientInfo?.patiBreath?.get('breathSupportClean')}" class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">目前为止呼吸支持时间(年)：</label>
                                    <div class="col-sm-10">
                                        <input name="breathSupportYear" th:value="${retPatientInfo?.patiBreath?.get('breathSupportYear')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-11" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiAsthma-edit" >
                                <div class="zhiQiGuanYan">
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">哮喘的临床表型</label>
                                        <div class="col-sm-10">
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaType') eq '1'}"
                                                       id="patiAsthmaType1"
                                                       name="patiAsthmaType"
                                                       value="1" >
                                                <label for="patiAsthmaType1" >过敏性哮喘</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaType') eq '2'}"
                                                       id="patiAsthmaType2"
                                                       name="patiAsthmaType"
                                                       value="2" >
                                                <label for="patiAsthmaType2" >非过敏性哮喘</label>
                                            </div>

                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaType') eq '3'}"
                                                       id="patiAsthmaType3"
                                                       name="patiAsthmaType"
                                                       value="3" >
                                                <label for="patiAsthmaType3" >迟发性哮喘</label>
                                            </div>

                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaType') eq '4'}"
                                                       id="patiAsthmaType4"
                                                       name="patiAsthmaType"
                                                       value="4" >
                                                <label for="patiAsthmaType4" >持续气流受限的哮喘</label>
                                            </div>

                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaType') eq '5'}"
                                                       id="patiAsthmaType5"
                                                       name="patiAsthmaType"
                                                       value="5" >
                                                <label for="patiAsthmaType5" >肥胖型哮喘</label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">急性发作期的分级：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('airflow_lev')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaLev') eq dict.dictValue}"
                                                       th:id="'patiAsthmaLev'+${dict.dictCode}"
                                                       name="patiAsthmaLev" th:value="${dict.dictValue}" >
                                                <label th:for="'patiAsthmaLev'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">哮喘急性发作的危险因素：</label>
                                        <div class="col-sm-7">
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="1"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','1')}"
                                                >
                                                哮喘症状未控制
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="2"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','2')}"
                                                >
                                                过量使用SABA（＞1*200剂量/月）不充分的ICS治疗
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="3"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','3')}"
                                                >
                                                低FEV1（＜60%pre）对支气管舒张剂可逆性高
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="4"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','4')}"
                                                >
                                                吸烟过敏肥胖鼻窦炎
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="5"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','5')}"
                                                >
                                                血嗜酸性粒细胞增高FeNO增高怀孕
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="6"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','6')}"
                                                >
                                                曾有过气管插管或因哮喘在ICU治疗
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="7"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','7')}"
                                                >
                                                过去12个月≥1次严重哮喘发作
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="8"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','8')}"
                                                >
                                                早产/出生时低体重儿/婴儿期体重过度增长
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="9"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','9')}"
                                                >
                                                呼吸道感染空气污染天气变化职业性因素
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="a"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','a')}"
                                                >
                                                运动药物食物及食品添加剂精神心理因素
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaLevRiskFactors"
                                                       value="b"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaLevRiskFactors')?:'','b')}"
                                                >
                                                内分泌因素
                                            </label>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">居住环境</label>
                                        <div class="col-sm-10">
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaResidentialEnvironment') eq '1'}"
                                                       id="patiAsthmaResidentialEnvironment1"
                                                       name="patiAsthmaResidentialEnvironment"
                                                       value="1" >
                                                <label for="patiAsthmaResidentialEnvironment1" >房屋</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaResidentialEnvironment') eq '2'}"
                                                       id="patiAsthmaResidentialEnvironment2"
                                                       name="patiAsthmaResidentialEnvironment"
                                                       value="2" >
                                                <label for="patiAsthmaResidentialEnvironment2" >公寓</label>
                                            </div>

                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaResidentialEnvironment') eq '3'}"
                                                       id="patiAsthmaResidentialEnvironment3"
                                                       name="patiAsthmaResidentialEnvironment"
                                                       value="3" >
                                                <label for="patiAsthmaResidentialEnvironment3" >移动房屋</label>
                                            </div>

                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaResidentialEnvironment') eq '4'}"
                                                       id="patiAsthmaResidentialEnvironment4"
                                                       name="patiAsthmaResidentialEnvironment"
                                                       value="4" >
                                                <label for="patiAsthmaResidentialEnvironment4" >合租</label>
                                            </div>

                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">平时日常家务：</label>
                                        <div class="col-sm-7">
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="1"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','1')}"
                                                >
                                                烹饪
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="2"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','2')}"
                                                >
                                                清洁
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="3"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','3')}"
                                                >
                                                财务
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="4"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','4')}"
                                                >
                                                洗衣
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="5"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','5')}"
                                                >
                                                打扫院子
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiAsthmaDailyHousehold"
                                                       value="6"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDailyHousehold')?:'','6')}"
                                                >
                                                购买生活用品
                                            </label>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">主要经济来源年收入一起居住家人：</label>
                                        <div class="col-sm-2">
                                            <input name="patiAsthmaIncome" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaIncome')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">（人）</label>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">支气管哮喘家族史：</label>
                                        <div class="col-sm-4">
                                            <input name="patiAsthmaFamilyHistory" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaFamilyHistory')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">职业史：</label>
                                        <div class="col-sm-4">
                                            <input name="patiAsthmaCareerHistory" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaCareerHistory')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">退休日期：</label>
                                        <div class="col-sm-10">
                                            <div class="input-group date">
                                                <input name="patiAsthmaRetirementDate"
                                                       th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaRetirementDate')}"
                                                       class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                                <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                            </div>
                                        </div>
                                    </div>
                                </div>

                                <header class="form-header h4">居住环境</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">房屋：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment1"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment1')?:'','1')}"
                                            >
                                            平房(居住面积)
                                        </label>
                                        <input name="patiAsthmaSourcesResidentialEnvironment1Other" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment1Other')}"  class=""  type="text">

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment1"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment1')?:'','2')}"
                                            >
                                            楼房(居住面积)
                                        </label>
                                        <input name="patiAsthmaSourcesResidentialEnvironment2Other" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment2Other')}"  class=""  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">共居住人数：</label>
                                    <div class="col-sm-4">
                                        <input name="patiAsthmaSourcesResidentialEnvironment2" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment2')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">冬季取暖设施：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment3"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment3')?:'','1')}"
                                            >
                                            暖气
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment3"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment3')?:'','2')}"
                                            >
                                            煤炉子
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment3"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment3')?:'','2')}"
                                            >
                                            土炕
                                        </label>

                                        <input name="patiAsthmaSourcesResidentialEnvironment3Other" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment3Other')}"  class=""  type="text">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">烹饪加热方式：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','1')}"
                                            >
                                            天然气
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','2')}"
                                            >
                                            液化气
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','3')}"
                                            >
                                            煤块
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','4')}"
                                            >
                                            沼气
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','5')}"
                                            >
                                            木材
                                        </label>

                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesResidentialEnvironment4"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4')?:'','6')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaSourcesResidentialEnvironment4Other" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesResidentialEnvironment4Other')}"  class=""  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4">平时日常家务</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">平时日常家务：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','1')}"
                                            >
                                            烹饪
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','2')}"
                                            >
                                            清洁
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','3')}"
                                            >
                                            洗衣
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','4')}"
                                            >
                                            打扫卫生
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','5')}"
                                            >
                                            购买生活用品
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesDailyHouseholdChores"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChores')?:'','9')}"
                                            >
                                            其他
                                        </label>

                                        <input name="patiAsthmaSourcesDailyHouseholdChoresOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesDailyHouseholdChoresOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4">主要经济来源</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">主要经济来源：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesMainEconomicSources"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesMainEconomicSources')?:'','1')}"
                                            >
                                            农村
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesMainEconomicSources"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesMainEconomicSources')?:'','2')}"
                                            >
                                            地县城镇
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesMainEconomicSources"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesMainEconomicSources')?:'','3')}"
                                            >
                                            省会城市
                                        </label>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">年收入（元）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingAnnualIncome" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingAnnualIncome')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">经济收入主要靠：</label>
                                    <div class="col-sm-2">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesEconomicIncome "
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesEconomicIncome')?:'','1')}"
                                            >
                                            自己
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesEconomicIncome"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesEconomicIncome')?:'','2')}"
                                            >
                                            子女
                                        </label>
                                    </div>
                                </div>

                                <header class="form-header h4">家族史</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">家族史：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','1')}"
                                            >
                                            慢性支气管炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','2')}"
                                            >
                                            肺气肿
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','3')}"
                                            >
                                            哮喘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','4')}"
                                            >
                                            支气管扩张
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','5')}"
                                            >
                                            糖尿病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','6')}"
                                            >
                                            高血压
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','7')}"
                                            >
                                            肺癌
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesFamilyHistory"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistory')?:'','9')}"
                                            >
                                            其他
                                        </label>

                                        <input name="patiAsthmaSourcesFamilyHistoryOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesFamilyHistoryOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4">您是否合并其他健康问题</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">您是否合并其他健康问题：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','1')}"
                                            >
                                            心血管疾病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','2')}"
                                            >
                                            高血压病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','3')}"
                                            >
                                            糖尿病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','4')}"
                                            >
                                            胃肠疾病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','5')}"
                                            >
                                            胃食管反流/裂孔疝
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','6')}"
                                            >
                                            骨质疏松症
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','7')}"
                                            >
                                            鼻窦炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="8"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','8')}"
                                            >
                                            视力或听力问题
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesOtherHealthIssues"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssues')?:'','9')}"
                                            >
                                            其他
                                        </label>

                                        <input name="patiAsthmaSourcesOtherHealthIssuesOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesOtherHealthIssuesOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4">是否接触过有害物质</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否接触过有害物质：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','1')}"
                                            >
                                            烹饪油烟
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','2')}"
                                            >
                                            油漆烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','3')}"
                                            >
                                            焊接
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','4')}"
                                            >
                                            石棉
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','5')}"
                                            >
                                            棉尘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','6')}"
                                            >
                                            塑料烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','7')}"
                                            >
                                            矿山粉尘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="8"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','8')}"
                                            >
                                            溶剂烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','9')}"
                                            >
                                            其他烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesHarmfulSubstances"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesHarmfulSubstances')?:'','a')}"
                                            >
                                            其他粉尘
                                        </label>
                                    </div>
                                </div>

                                <header class="form-header h4">吸烟史</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">吸烟史：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistory"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory')?:'','1')}"
                                            >
                                            是
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistory"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory')?:'','2')}"
                                            >
                                            否
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">如果是请选择：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistoryType"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistoryType')?:'','1')}"
                                            >
                                            既往吸烟已戒烟
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistoryType"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistoryType')?:'','2')}"
                                            >
                                            目前是吸烟者
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistoryType"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistoryType')?:'','2')}"
                                            >
                                            被动吸烟者
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">既往吸烟已戒烟：</label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">开始吸烟年龄：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingHistory1" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory1')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">每天吸烟支数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingHistory2" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory2')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">戒烟年龄：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingHistory3" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory3')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">目前是吸烟者：</label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">开始吸烟年龄：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingHistory4" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory4')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">每天吸烟支数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiAsthmaSmokingHistory5" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory5')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">是否有戒烟愿望：</label>

                                    <div class="col-sm-2">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory6') eq '1'}"
                                                   id="patiAsthmaSmokingHistory6111"
                                                   name="patiAsthmaSmokingHistory6"
                                                   value="1" >
                                            <label for="patiAsthmaSmokingHistory6111" >是</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory6') eq '2'}"
                                                   id="patiAsthmaSmokingHistory6222"
                                                   name="patiAsthmaSmokingHistory6"
                                                   value="2" >
                                            <label for="patiAsthmaSmokingHistory6222" >否</label>
                                        </div>
                                    </div>
                                </div>


                                <div class="form-group">
                                    <label class="col-sm-2 control-label">被动吸烟者被动吸烟场所：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistory7"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory7')?:'','1')}"
                                            >
                                            家庭
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistory7"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory7')?:'','2')}"
                                            >
                                            工作场合
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSmokingHistory7"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSmokingHistory7')?:'','3')}"
                                            >
                                            社交场合
                                        </label>
                                    </div>
                                </div>
                                <header class="form-header h4">过敏史</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否过敏</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('asthmaYN') eq dict.dictValue}"
                                                   th:id="'asthmaYN'+${dict.dictCode}"
                                                   name="asthmaYN" th:value="${dict.dictValue}" >
                                            <label th:for="'asthmaYN'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">我对以下过敏：</label>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">食物：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyFood"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFood')?:'','1')}"
                                            >
                                            鸡蛋
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyFood"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFood')?:'','2')}"
                                            >
                                            海鲜
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyFood"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFood')?:'','3')}"
                                            >
                                            花生
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyFood"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFood')?:'','4')}"
                                            >
                                            果蔬
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyFood"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFood')?:'','a')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaAllergyFoodOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyFoodOther')}"  class=""  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">药物：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyMed"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyMed')?:'','1')}"
                                            >
                                            阿司匹林
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyMed"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyMed')?:'','2')}"
                                            >
                                            青霉素
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyMed"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyMed')?:'','3')}"
                                            >
                                            磺胺
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyMed"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyMed')?:'','a')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaAllergyMedOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyMedOther')}"  class=""  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">环境：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','1')}"
                                            >
                                            粉尘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','2')}"
                                            >
                                            霉菌
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','3')}"
                                            >
                                            花粉
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','4')}"
                                            >
                                            蒿草
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','5')}"
                                            >
                                            烟草
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','6')}"
                                            >
                                            烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','7')}"
                                            >
                                            油烟
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="8"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','8')}"
                                            >
                                            烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','9')}"
                                            >
                                            温度快速变化
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','a')}"
                                            >
                                            灰尘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="b"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','b')}"
                                            >
                                            香水
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="c"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','c')}"
                                            >
                                            冷风
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaAllergyEnv"
                                                   value="d"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnv')?:'','d')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaAllergyEnvOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaAllergyEnvOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">我在接触下列环境刺激物时有不适：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','1')}"
                                            >
                                            烟草
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','2')}"
                                            >
                                            烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','3')}"
                                            >
                                            油烟
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','4')}"
                                            >
                                            烟雾
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','5')}"
                                            >
                                            温度快速变化
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','6')}"
                                            >
                                            花粉
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','7')}"
                                            >
                                            灰尘
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="8"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','8')}"
                                            >
                                            香水
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','9')}"
                                            >
                                            冷风
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaDiscomfort"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfort')?:'','a')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaDiscomfortOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaDiscomfortOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <div class="form-group" style="display: none">
                                    <label class="col-sm-2 control-label">您是否合并其他健康问题：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','1')}"
                                            >
                                            过敏性鼻炎咽
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','2')}"
                                            >
                                            咽炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','3')}"
                                            >
                                            鼻后滴漏
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','4')}"
                                            >
                                            合征心血管疾病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','5')}"
                                            >
                                            高血压
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','6')}"
                                            >
                                            病糖尿病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','7')}"
                                            >
                                            胃肠疾病胃
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="8"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','8')}"
                                            >
                                            食管反流/裂孔疝
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="9"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','9')}"
                                            >
                                            骨质疏松症
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="b"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','b')}"
                                            >
                                            视力或听力问题
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaOtherHealthIssues"
                                                   value="a"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssues')?:'','a')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiAsthmaOtherHealthIssuesOther" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaOtherHealthIssuesOther')}"  class=""  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4">疫苗接种史</header>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">每年都接种流感疫苗</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaInfluenzaVaccine') eq dict.dictValue}"
                                                   th:id="'patiAsthmaInfluenzaVaccine'+${dict.dictCode}"
                                                   name="patiAsthmaInfluenzaVaccine" th:value="${dict.dictValue}" >
                                            <label th:for="'patiAsthmaInfluenzaVaccine'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">接种时间：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="patiAsthmaInfluenzaVaccineDate" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaInfluenzaVaccineDate')}"  class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">若否，为什么没有接种？</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaInfluenzaVaccineReason"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaInfluenzaVaccineReason')?:'','1')}"
                                            >
                                            不了解流感疫苗接种
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaInfluenzaVaccineReason"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaInfluenzaVaccineReason')?:'','2')}"
                                            >
                                            居住地附近没有接种场所
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaInfluenzaVaccineReason"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaInfluenzaVaccineReason')?:'','3')}"
                                            >
                                            认为接种疫苗没有意义
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否接种肺炎疫苗</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaPneumoniaVaccine') eq dict.dictValue}"
                                                   th:id="'patiAsthmaPneumoniaVaccine'+${dict.dictCode}"
                                                   name="patiAsthmaPneumoniaVaccine" th:value="${dict.dictValue}" >
                                            <label th:for="'patiAsthmaPneumoniaVaccine'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">肺炎疫苗接种时间：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="patiAsthmaPneumoniaVaccineDate" th:value="${retPatientInfo?.patiAsthma?.get('patiAsthmaPneumoniaVaccineDate')}"  class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>


                                <div class="form-group">
                                    <label class="col-sm-2 control-label">若否，为什么没有接种？</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaPneumoniaVaccineReason"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaPneumoniaVaccineReason')?:'','1')}"
                                            >
                                            不了解流感疫苗接种
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaPneumoniaVaccineReason"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaPneumoniaVaccineReason')?:'','2')}"
                                            >
                                            居住地附近没有接种场所
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaPneumoniaVaccineReason"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaPneumoniaVaccineReason')?:'','3')}"
                                            >
                                            认为接种疫苗没有意义
                                        </label>
                                    </div>
                                </div>

                                <header class="form-header h4 zhiQiGuanYan">您有吞咽困难吗？是否原因</header>


                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label">您有体重增加或体重减轻的困扰吗？</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaWeightIssues') eq dict.dictValue}"
                                                   th:id="'patiAsthmaWeightIssues'+${dict.dictCode}"
                                                   name="patiAsthmaWeightIssues" th:value="${dict.dictValue}" >
                                            <label th:for="'patiAsthmaWeightIssues'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label">您近3月体重有变化吗？</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiAsthma?.get('patiAsthmaWeightChange') eq dict.dictValue}"
                                                   th:id="'patiAsthmaWeightChange'+${dict.dictCode}"
                                                   name="patiAsthmaWeightChange" th:value="${dict.dictValue}" >
                                            <label th:for="'patiAsthmaWeightChange'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <header class="form-header h4">了解呼吸道疾病知识的来源渠道</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">我了解呼吸道疾病的知识来源是：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','1')}"
                                            >
                                            手机
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','2')}"
                                            >
                                            电脑
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','3')}"
                                            >
                                            医护人员讲解
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','4')}"
                                            >
                                            听医护人员疾病科普讲座
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','5')}"
                                            >
                                            阅读书籍杂志
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','6')}"
                                            >
                                            看电视节目
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiAsthmaSourcesKnowledgeRespiratoryDiseases"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiAsthma?.get('patiAsthmaSourcesKnowledgeRespiratoryDiseases')?:'','7')}"
                                            >
                                            微信
                                        </label>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-3" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiDrug-edit" >
                                <header class="form-header h4">既往曾使用药物</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">既往曾使用药物：</label>
                                    <div class="col-sm-9">
                                        <label class="check-box" th:each="dict : ${@dict.getType('pat_drug')}">
                                            <input type="checkbox"
                                                   name="patiDrugUse"
                                                   th:value="${dict.dictValue}"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugUse')?:'',dict.dictValue)}"
                                                >
                                            [[${dict.dictLabel}]]
                                        </label>
                                        <input name="patiDrugUseText"
                                               th:value="${retPatientInfo?.patiDrug?.get('patiDrugUseText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>

                                <header class="form-header h4">使用类固醇药物</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否使用类固醇药物（如强的松）：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugSteroid') eq dict.dictValue}"
                                                   th:id="'patiDrugSteroid'+${dict.dictCode}" name="patiDrugSteroid" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugSteroid'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">类固醇药物使用时间（年）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugSteroidYear" th:value="${retPatientInfo?.patiDrug?.get('patiDrugSteroidYear')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">类固醇药物末次使用日期：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiDrugSteroidTime" th:value="${retPatientInfo?.patiDrug?.get('patiDrugSteroidTime')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                    <label class="col-sm-2 control-label">类固醇药物最大剂量：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugSteroidMaxDose" th:value="${retPatientInfo?.patiDrug?.get('patiDrugSteroidMaxDose')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <header class="form-header h4">使用茶碱类药物</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">使用茶碱类药物（如氨茶碱）：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugTheophylline') eq dict.dictValue}"
                                                   th:id="'patiDrugTheophylline'+${dict.dictCode}" name="patiDrugTheophylline" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugTheophylline'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">茶碱类药物使用时间（年）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugTheophyllineYear" th:value="${retPatientInfo?.patiDrug?.get('patiDrugTheophyllineYear')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">末次使用日期：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiDrugTheophyllineTime" th:value="${retPatientInfo?.patiDrug?.get('patiDrugTheophyllineTime')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">常用抗菌药物</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否常用抗菌药物：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugAnti') eq dict.dictValue}"
                                                   th:id="'patiDrugAnti'+${dict.dictCode}" name="patiDrugAnti" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugAnti'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">常用抗菌药物：</label>
                                    <div class="col-sm-9">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugAntiName"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugAntiName')?:'',1)}"
                                            >
                                            阿莫西林
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugAntiName"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugAntiName')?:'',2)}"
                                            >
                                            头孢类
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugAntiName"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugAntiName')?:'',3)}"
                                            >
                                            左氧氟沙星
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugAntiName"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugAntiName')?:'',4)}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiDrugAntiOhter"
                                               th:value="${retPatientInfo?.patiDrug?.get('patiDrugAntiOhter')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <header class="form-header h4">既往是否规律使用吸入药物</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否规律使用吸入药物：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugIrreg') eq dict.dictValue}"
                                                   th:id="'patiDrugIrreg'+${dict.dictCode}" name="patiDrugIrreg" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugIrreg'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">既往未规律用药原因：</label>
                                    <div class="col-sm-9">
                                        <label class="check-box" th:each="dict : ${@dict.getType('drug_irreg_reason')}">
                                            <input type="checkbox"
                                                   name="patiDrugIrregReason"
                                                   th:value="${dict.dictValue}"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugIrregReason')?:'',dict.dictValue)}"
                                            >
                                            [[${dict.dictLabel}]]
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">症状是否缓解：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugUseSymOk') eq dict.dictValue}"
                                                   th:id="'patiDrugUseSymOk'+${dict.dictCode}" name="patiDrugUseSymOk" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugUseSymOk'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4 manZuFei">呼吸支持</header>
                                <div class="form-group manZuFei">
                                    <label class="col-sm-2 control-label">您使用呼吸支持吗？：</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiDrug?.get('patiDrugOxygen') eq dict.dictValue}"
                                                   th:id="'patiDrugOxygen'+${dict.dictCode}" name="patiDrugOxygen" th:value="${dict.dictValue}" >
                                            <label th:for="'patiDrugOxygen'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">呼吸支持方式：</label>
                                    <div class="col-sm-9">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugOxygenWay"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugOxygenWay')?:'',1)}"
                                            >
                                            普通氧疗
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiDrugOxygenWay"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiDrug?.get('patiDrugOxygenWay')?:'',2)}"
                                            >
                                            无创呼吸机
                                        </label>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><h3>普通氧疗：</h3></label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">开始时间：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiDrugOxygenStartDate" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStartDate')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                    <label class="col-sm-2 control-label">吸氧浓度(%)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart1" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart1')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">吸氧流量（L/Min）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart2" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart2')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">每天吸氧时间(小时)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart3" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart3')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">如何清洁氧疗装置：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart4" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart4')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">到目前为止普通氧疗时间（年）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart5" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart5')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><h3>无创呼吸机：</h3></label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">开始时间：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiDrugOxygenStart6" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart6')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                    <label class="col-sm-2 control-label">吸氧浓度(%)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart7" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart7')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">吸氧流量（L/Min）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart8" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart8')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">每天使用无创呼吸机时间(小时)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart9" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart9')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">如何清洁氧疗装置：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart10" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart10')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">到目前为止使用无创呼吸机时间（年）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiDrugOxygenStart11" th:value="${retPatientInfo?.patiDrug?.get('patiDrugOxygenStart11')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-4" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiAdm-edit" >
                                <header class="form-header h4">既往就诊记录</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">看呼吸科医师的频率(次/年)：</label>
                                    <div class="col-sm-10">
                                        <input name="patiAdmFreq" th:value="${retPatientInfo?.patiAdm?.get('patiAdmFreq')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">乡村卫生院就诊的频率(次/年)：</label>
                                    <div class="col-sm-10">
                                        <input name="patiAdmVillage" th:value="${retPatientInfo?.patiAdm?.get('patiAdmVillage')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">当地县级医院就诊的频率(次/年)：</label>
                                    <div class="col-sm-10">
                                        <input name="patiAdmCounty" th:value="${retPatientInfo?.patiAdm?.get('patiAdmCounty')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">省级三甲医院就诊的频率(次/年)：</label>
                                    <div class="col-sm-10">
                                        <input name="patiAdmProvince" th:value="${retPatientInfo?.patiAdm?.get('patiAdmProvince')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-5" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiEm-edit" >
                                <header class="form-header h4">既往急性加重史</header>
                                <div class="form-group">
                                    <label class="col-sm-5 control-label">1. 您过去一年是否因为咳、痰、喘症状加重住院/急诊就诊？</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEm?.get('patiEm1') eq dict.dictValue}"
                                                   th:id="'patiEm1'+${dict.dictCode}" name="patiEm1" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEm1'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><h4>住院：</h4></label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">过去一年住院次数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEm5" th:value="${retPatientInfo?.patiEm?.get('patiEm5')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">前几年住院次数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEm6" th:value="${retPatientInfo?.patiEm?.get('patiEm6')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">上次住院时间：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiEm7" th:value="${retPatientInfo?.patiEm?.get('patiEm7')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                    <label class="col-sm-2 control-label">上次出院时间：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiEm8" th:value="${retPatientInfo?.patiEm?.get('patiEm8')}" class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><h4>急诊就诊：</h4></label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">过去一年急诊就诊次数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEm9" th:value="${retPatientInfo?.patiEm?.get('patiEm9')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">前几年急诊就诊次数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEm10" th:value="${retPatientInfo?.patiEm?.get('patiEm10')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-5 control-label">2. 过去一年是否因为呼吸症状加重咳、痰、喘症状加重增加用药？</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEm?.get('patiEm2') eq dict.dictValue}"
                                                   th:id="'patiEm2'+${dict.dictCode}" name="patiEm2" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEm2'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><h4>所用药物：</h4></label>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">所用药物：</label>
                                    <div class="col-sm-9">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEm11"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEm?.get('patiEm11')?:'',1)}"
                                            >
                                            短效支扩药
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEm11"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEm?.get('patiEm11')?:'',2)}"
                                            >
                                            联合抗生素
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEm11"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEm?.get('patiEm11')?:'',3)}"
                                            >
                                            口服糖皮质激素
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEm11"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEm?.get('patiEm11')?:'',4)}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiEm11Ohter"
                                               th:value="${retPatientInfo?.patiEm?.get('patiEm11Ohter')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-5 control-label">3. 日常行动下如咳、痰、喘等任意症状在短期内是否有突然加重，且持续2天以上？</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEm?.get('patiEm3') eq dict.dictValue}"
                                                   th:id="'patiEm3'+${dict.dictCode}" name="patiEm3" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEm3'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-5 control-label">4. 走路、爬楼等日常活动在短期内是否明显要更费力且持续2天以上？</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEm?.get('patiEm4') eq dict.dictValue}"
                                                   th:id="'patiEm4'+${dict.dictCode}" name="patiEm4" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEm4'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-6" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiPreAssess-edit" >
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">评估日期：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiPreAssessDate"
                                                   th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDate')}"
                                                   class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                    <!--
                                    <header class="form-header h4">呼吸系统症状</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">咳嗽</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCough') eq dict.dictValue}"
                                                       th:id="'patiPreAssessCough'+${dict.dictCode}"
                                                       name="patiPreAssessCough" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessCough'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">痰液</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum') eq dict.dictValue}"
                                                   th:id="'patiPreAssessSputum'+${dict.dictCode}"
                                                   name="patiPreAssessSputum" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessSputum'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                 -->
                                <header class="form-header h4">呼吸系统症状</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">咳嗽</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCough') eq dict.dictValue}"
                                                       th:id="'patiPreAssessCough'+${dict.dictCode}"
                                                       name="patiPreAssessCough" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessCough'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-3 control-label">从何时开始出现咳嗽：</label>
                                        <div class="col-sm-2">
                                            <div class="input-group date">
                                                <input name="patiPreAssessCoughDate"
                                                       th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCoughDate')}"
                                                       class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                                <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                    <label class="col-sm-3 control-label">咳嗽何时最重：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCoughHeavy') eq dict.dictValue}"
                                                   th:id="'patiPreAssessCoughHeavy'+${dict.dictCode}"
                                                   name="patiPreAssessCoughHeavy" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessCoughHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">痰液</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum') eq dict.dictValue}"
                                                   th:id="'patiPreAssessSputum'+${dict.dictCode}"
                                                   name="patiPreAssessSputum" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessSputum'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-3 control-label">痰液颜色：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputumColor') eq 'a'}"
                                                   id="patiPreAssessSputumColora"
                                                   name="patiPreAssessSputumColor" value="a" >
                                            <label for="patiPreAssessSputumColora" >
                                                黄色
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputumColor') eq 'b'}"
                                                   id="patiPreAssessSputumColorb"
                                                   name="patiPreAssessSputumColor" value="b" >
                                            <label for="patiPreAssessSputumColorb" >
                                                白色
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputumColor') eq 'c'}"
                                                   id="patiPreAssessSputumColorc"
                                                   name="patiPreAssessSputumColor" value="c" >
                                            <label for="patiPreAssessSputumColorc" >
                                                其他
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-3 control-label">颜色性状：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum1') eq 'a'}"
                                                   id="patiPreAssessSputum1a"
                                                   name="patiPreAssessSputum1" value="a" >
                                            <label for="patiPreAssessSputum1a" >
                                                正常颜色
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum1') eq 'b'}"
                                                   id="patiPreAssessSputum1b"
                                                   name="patiPreAssessSputum1" value="b" >
                                            <label for="patiPreAssessSputum1b" >
                                                稀薄
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum1') eq 'c'}"
                                                   id="patiPreAssessSputum1c"
                                                   name="patiPreAssessSputum1" value="c" >
                                            <label for="patiPreAssessSputum1c" >
                                                粘稠
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum1') eq 'd'}"
                                                   id="patiPreAssessSputum1d"
                                                   name="patiPreAssessSputum1" value="d" >
                                            <label for="patiPreAssessSputum1d" >
                                                拉丝
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum1') eq 'e'}"
                                                   id="patiPreAssessSputum1e"
                                                   name="patiPreAssessSputum1" value="e" >
                                            <label for="patiPreAssessSputum1e" >
                                                其他
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-3 control-label">何时最多：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputumHeavy') eq dict.dictValue}"
                                                   th:id="'patiPreAssessSputumHeavy'+${dict.dictCode}"
                                                   name="patiPreAssessSputumHeavy" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessSputumHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-3 control-label">每天痰量：</label>
                                    <div class="col-sm-9">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'a'}"
                                                   id="patiPreAssessSputum2a"
                                                   name="patiPreAssessSputum2" value="a" >
                                            <label for="patiPreAssessSputum2a" >
                                                5ml
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'b'}"
                                                   id="patiPreAssessSputum2b"
                                                   name="patiPreAssessSputum2" value="b" >
                                            <label for="patiPreAssessSputum2b" >
                                                5-10ml
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'c'}"
                                                   id="patiPreAssessSputum2c"
                                                   name="patiPreAssessSputum2" value="c" >
                                            <label for="patiPreAssessSputum2c" >
                                                15ml
                                            </label>
                                        </div>

                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'd'}"
                                                   id="patiPreAssessSputum2d"
                                                   name="patiPreAssessSputum2" value="d" >
                                            <label for="patiPreAssessSputum2d" >
                                                60ml
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'e'}"
                                                   id="patiPreAssessSputum2e"
                                                   name="patiPreAssessSputum2" value="e" >
                                            <label for="patiPreAssessSputum2e" >
                                                125ml
                                            </label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSputum2') eq 'f'}"
                                                   id="patiPreAssessSputum2f"
                                                   name="patiPreAssessSputum2" value="f" >
                                            <label for="patiPreAssessSputum2f" >
                                                250ml
                                            </label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">咯血</header>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">咯血</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessHemoptysis') eq dict.dictValue}"
                                                   th:id="'patiPreAssessHemoptysis'+${dict.dictCode}"
                                                   name="patiPreAssessHemoptysis" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessHemoptysis'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                    <header class="form-header h4">呼吸困难</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">呼吸困难</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDyspnea') eq dict.dictValue}"
                                                       th:id="'patiPreAssessDyspnea'+${dict.dictCode}"
                                                       name="patiPreAssessDyspnea" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessDyspnea'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">从何时开始出现呼吸困难：</label>
                                        <div class="col-sm-2">
                                            <div class="input-group date">
                                                <input name="patiPreAssessDyspneaDate"
                                                       th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDyspneaDate')}"
                                                       class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                                <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">呼吸困难最重：</label>
                                        <div class="col-sm-10">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDyspneaHeavy') eq dict.dictValue}"
                                                       th:id="'patiPreAssessDyspneaHeavy'+${dict.dictCode}"
                                                       name="patiPreAssessDyspneaHeavy" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessDyspneaHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>

                                    <header class="form-header h4">喘息</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">喘息</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPant') eq dict.dictValue}"
                                                       th:id="'patiPreAssessPant'+${dict.dictCode}"
                                                       name="patiPreAssessPant" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessPant'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">从何时开始出现喘息：</label>
                                    <div class="col-sm-2">
                                        <div class="input-group date">
                                            <input name="patiPreAssessPantDate"
                                                   th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPantDate')}"
                                                   class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">喘息最重：</label>
                                        <div class="col-sm-10">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('pat_time_range')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPantHeavy') eq dict.dictValue}"
                                                       th:id="'patiPreAssessPantHeavy'+${dict.dictCode}"
                                                       name="patiPreAssessPantHeavy" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessPantHeavy'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                </div>

                                    <header class="form-header h4">体格检查</header>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">口唇发绀：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCyanochroia') eq dict.dictValue}"
                                                   th:id="'patiPreAssessCyanochroia'+${dict.dictCode}"
                                                   name="patiPreAssessCyanochroia" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessCyanochroia'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">皮肤颜色：</label>
                                    <div class="col-sm-10">
                                        <input name="patiPreAssessSkin" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSkin')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">踝关节水肿：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAnkle') eq dict.dictValue}"
                                                   th:id="'patiPreAssessAnkle'+${dict.dictCode}"
                                                   name="patiPreAssessAnkle" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessAnkle'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">脉搏(次/分)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPreAssessPulse" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPulse')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">呼吸(次/分)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPreAssessBreathe" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessBreathe')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">血压(mmHg)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPreAssessBloodPressure" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessBloodPressure')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">SpO2(%)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessSpo2" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSpo2')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">辅助呼吸肌呼吸：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAssistedBreath') eq dict.dictValue}"
                                                   th:id="'patiPreAssessAssistedBreath'+${dict.dictCode}"
                                                   name="patiPreAssessAssistedBreath" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessAssistedBreath'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                    <div class="form-group">
                                    <label class="col-sm-2 control-label">缩唇呼吸：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPursedLipBreathing') eq dict.dictValue}"
                                                   th:id="'patiPreAssessPursedLipBreathing'+${dict.dictCode}"
                                                   name="patiPreAssessPursedLipBreathing" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPreAssessPursedLipBreathing'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">腹式呼吸：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAbdominalBreathing') eq dict.dictValue}"
                                                       th:id="'patiPreAssessAbdominalBreathing'+${dict.dictCode}"
                                                       name="patiPreAssessAbdominalBreathing" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessAbdominalBreathing'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <header class="form-header h4">听诊</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">哮鸣音：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessWheezingRale') eq dict.dictValue}"
                                                       th:id="'patiPreAssessWheezingRale'+${dict.dictCode}"
                                                       name="patiPreAssessWheezingRale" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessWheezingRale'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">湿罗音：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMoistRale') eq dict.dictValue}"
                                                       th:id="'patiPreAssessMoistRale'+${dict.dictCode}"
                                                       name="patiPreAssessMoistRale" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessMoistRale'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">呼吸音减低：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('sys_have')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessReducedRespiratorySounds') eq dict.dictValue}"
                                                       th:id="'patiPreAssessReducedRespiratorySounds'+${dict.dictCode}"
                                                       name="patiPreAssessReducedRespiratorySounds" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessReducedRespiratorySounds'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>

                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">其他：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessOther" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessOther')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">小腿围</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">小腿围：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessCalfCircumference" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCalfCircumference')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">肺功能检查</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">FEV1(L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessFEV1" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessFEV1')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">FEV1/FVC(%)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessFEV1/FVC" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessFEV1/FVC')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">PEF：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessPEF" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPEF')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">FVC(L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessFVC" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessFVC')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">TLC(L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessTLC" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessTLC')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">RV(L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessRV" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessRV')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">FeNO：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessFeNO" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessFeNO')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">气流受限严重程度分级：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('airflow_lev')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAirflowLev') eq dict.dictValue}"
                                                       th:id="'patiPreAssessAirflowLev'+${dict.dictCode}"
                                                       name="patiPreAssessAirflowLev" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessAirflowLev'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">舒张试验：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('native_positive')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDiastolicTest') eq dict.dictValue}"
                                                       th:id="'patiPreAssessDiastolicTest'+${dict.dictCode}"
                                                       name="patiPreAssessDiastolicTest" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessDiastolicTest'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">弥散功能：</label>
                                        <div class="col-sm-10">
                                            <input name="patiPreAssessDiffusionFunction" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDiffusionFunction')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">激发试验：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('native_positive')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessExcitationTest') eq dict.dictValue}"
                                                       th:id="'patiPreAssessExcitationTest'+${dict.dictCode}"
                                                       name="patiPreAssessExcitationTest" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessExcitationTest'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <header class="form-header h4">实验室检查</header>
                                     <div class="form-group">
                                        <label class="col-sm-2 control-label">动脉血气分析：</label>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">PO2(mmhg)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessPO2" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPO2')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">PCO2(mmhg)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessPCO2" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPCO2')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">呼吸衰竭类型：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessExcitationTest') eq 'a'}"
                                                       th:id="patiPreAssessExcitationTest1"
                                                       name="patiPreAssessExcitationTest" value="a" >
                                                <label th:for="patiPreAssessExcitationTest1" >
                                                    I型呼吸衰竭
                                                </label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessExcitationTest') eq 'b'}"
                                                       th:id="patiPreAssessExcitationTest2"
                                                       name="patiPreAssessExcitationTest" value="b" >
                                                <label th:for="patiPreAssessExcitationTest2" >
                                                    Ⅱ型呼吸衰竭
                                                </label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">肺癌肿瘤标记物：</label>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">CEA(ng/ml)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessCEA" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCEA')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">NSE(ng/ml)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessNSE" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessNSE')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">CY211(ng/ml)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessCY211" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCY211')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">ProGR(pg/ml)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessProGR" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessProGR')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">SCC(ng/ml)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessSCC" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessSCC')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">血常规</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">红细胞(*109)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessErythrocyte" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessErythrocyte')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">血红蛋白(g/L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessHemoglobin" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessHemoglobin')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">白细胞(*109)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessLeukocyte" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessLeukocyte')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">嗜酸性粒细胞计数(*109)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessEosinophilCount" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessEosinophilCount')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">血小板：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessPlatelet" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPlatelet')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">血IgE：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessIgE" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessIgE')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">白蛋白</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">白蛋白(g/L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessAlbumin" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAlbumin')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">血糖</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">血糖(mmol/L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessBloodSugar" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessBloodSugar')}"  class="form-control"  type="text">
                                        </div>
                                    </div>


                                    <header class="form-header h4">血脂</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">甘油三酯(mmol/L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessTriglyceride" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessTriglyceride')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">总胆固醇(mmol/L)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessTotalCholesterol" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessTotalCholesterol')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">其他：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessBloodFatOther" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessBloodFatOther')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">肝功能</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">ALT：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessALT" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessALT')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">AST：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessAST" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessAST')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">TBiL：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessTBiL" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessTBiL')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">DBiL：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessDBiL" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessDBiL')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">IBiL：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessIBiL" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessIBiL')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">肾功能</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">尿素：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessUrea" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessUrea')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">肌酐：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessCreatinine" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCreatinine')}"  class="form-control"  type="text">
                                        </div>
                                        <label class="col-sm-2 control-label">尿酸：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessUricAcid" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessUricAcid')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <header class="form-header h4">影像学检查</header>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">胸部CT：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCT') eq dict.dictValue}"
                                                       th:id="'patiPreAssessCT'+${dict.dictCode}"
                                                       name="patiPreAssessCT" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessCT'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">异常：</label>
                                        <div class="col-sm-7">
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="1"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','1')}"
                                                >
                                                慢性支气管炎
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="2"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','2')}"
                                                >
                                                肺气肿
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="3"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','3')}"
                                                >
                                                肺大泡
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="4"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','4')}"
                                                >
                                                肺炎
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="5"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','5')}"
                                                >
                                                肺占位
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="6"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','6')}"
                                                >
                                                支气管扩张
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="7"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','7')}"
                                                >
                                                肺结核
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessCTAbn"
                                                       value="0"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbn')?:'','0')}"
                                                >
                                                其他
                                            </label>
                                            <input name="patiPreAssessCTAbnText"
                                                   th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCTAbnText')}"
                                                   type="text"
                                                   style="width: 150px">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">心电图：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogram') eq dict.dictValue}"
                                                       th:id="'patiPreAssessElectrocardiogram'+${dict.dictCode}"
                                                       name="patiPreAssessElectrocardiogram" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessElectrocardiogram'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">异常：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','1')}"
                                            >
                                            电轴右偏
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','2')}"
                                            >
                                            肺型P波
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','3')}"
                                            >
                                            右属支传导组织
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','4')}"
                                            >
                                            房颤
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','5')}"
                                            >
                                            窦性心动过速
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPreAssessElectrocardiogramExp"
                                                   value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExp')?:'','0')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiPreAssessElectrocardiogramExpText"
                                               th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessElectrocardiogramExpText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">心脏彩超：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiography') eq dict.dictValue}"
                                                       th:id="'patiPreAssessEchocardiography'+${dict.dictCode}"
                                                       name="patiPreAssessEchocardiography" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessEchocardiography'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">异常：</label>
                                        <div class="col-sm-7">
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="1"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','1')}"
                                                >
                                                右心房增大
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="2"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','2')}"
                                                >
                                                右心室增大
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="3"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','3')}"
                                                >
                                                右心室壁增厚
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="4"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','4')}"
                                                >
                                                三尖瓣返流
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="5"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','5')}"
                                                >
                                                左心增大
                                            </label>
                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="6"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','6')}"
                                                >
                                                肺动脉压升高
                                            </label>

                                            <label class="check-box" >
                                                <input type="checkbox"
                                                       name="patiPreAssessEchocardiographyAbn"
                                                       value="0"
                                                       th:checked="${#strings.contains(retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbn')?:'','0')}"
                                                >
                                                其他
                                            </label>
                                            <input name="patiPreAssessEchocardiographyAbnText"
                                                   th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessEchocardiographyAbnText')}"
                                                   type="text"
                                                   style="width: 150px">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">肺动脉压测量值(mmHg)：</label>
                                        <div class="col-sm-2">
                                            <input name="patiPreAssessPulmonaryArterialPressure" th:value="${retPatientInfo?.patiPreAssess?.get('patiPreAssessPulmonaryArterialPressure')}"  class="form-control"  type="text">
                                        </div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">细胞因子检测：</label>
                                        <div class="col-sm-7">
                                            <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCytokineDetection') eq dict.dictValue}"
                                                       th:id="'patiPreAssessCytokineDetection'+${dict.dictCode}"
                                                       name="patiPreAssessCytokineDetection" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPreAssessCytokineDetection'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </div>
                                    </div>

                                    <header class="form-header h4">慢阻肺评估测试CAT评分</header>
                                    <table class="table table-bordered">
                                        <thead>
                                            <tr >
                                                <th width="30%">症状</th><th>评分（分)</th><th width="30%">症状</th>
                                            </tr>
                                        </thead>
                                        <tbody>
                                            <tr >
                                                <td >我从不咳嗽</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat1') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat1'+${dict.dictCode}"
                                                               name="patiPreAssessCat1" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat1'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >我总是在咳嗽</td>
                                            </tr>
                                            <tr >
                                                <td >我一点痰也没有</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat2') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat2'+${dict.dictCode}"
                                                               name="patiPreAssessCat2" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat2'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >我有很多很多痰</td>
                                            </tr>
                                            <tr >
                                                <td >当我爬坡或上1层楼梯时，没有气喘的感觉</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat3') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat3'+${dict.dictCode}"
                                                               name="patiPreAssessCat3" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat3'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >当我爬坡或上1层楼梯时，感觉严重喘不过气来</td>
                                            </tr>
                                            <tr >
                                                <td >我在家里能做任何事情</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat4') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat4'+${dict.dictCode}"
                                                               name="patiPreAssessCat4" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat4'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >我在家里做任何事情都很受影响</td>
                                            </tr>
                                            <tr >
                                                <td >尽管我有肺部疾病，但对外出很有信心</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat5') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat5'+${dict.dictCode}"
                                                               name="patiPreAssessCat5" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat5'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >由于我有肺部疾病，对离开家一点信心都没有</td>
                                            </tr>
                                            <tr >
                                                <td >我的睡眠非常好</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat6') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat6'+${dict.dictCode}"
                                                               name="patiPreAssessCat6" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat6'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >由于我有肺部疾病，睡眠相当差</td>
                                            </tr>
                                            <tr >
                                                <td >我精力旺盛</td>
                                                <td >
                                                    <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                        <input type="radio"
                                                               th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessCat7') eq dict.dictValue}"
                                                               th:id="'patiPreAssessCat7'+${dict.dictCode}"
                                                               name="patiPreAssessCat7" th:value="${dict.dictValue}" >
                                                        <label th:for="'patiPreAssessCat7'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                                    </div>
                                                </td>
                                                <td >我一点精力都没有</td>
                                            </tr>
                                        </tbody>
                                    </table>
                                    <div class="form-group">
                                        <label class="col-sm-2 control-label">mMRC呼吸困难分级：</label>
                                        <div class="col-sm-5">
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       id="patiPreAssessMmrc0"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMmrc') eq '0'}"
                                                       name="patiPreAssessMmrc" value="0" >
                                                <label for="patiPreAssessMmrc0">[0] 仅在用力运动时才会出现呼吸困难</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       id="patiPreAssessMmrc1"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMmrc') eq '1'}"
                                                       name="patiPreAssessMmrc" value="1" >
                                                <label for="patiPreAssessMmrc1">[1] 平地快步行走或步行爬小坡时出现呼吸困难</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       id="patiPreAssessMmrc2"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMmrc') eq '2'}"
                                                       name="patiPreAssessMmrc" value="2" >
                                                <label for="patiPreAssessMmrc2">[2] 平地行走时比同龄人慢，需要停下来休息</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       id="patiPreAssessMmrc3"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMmrc') eq '3'}"
                                                       name="patiPreAssessMmrc" value="3" >
                                                <label for="patiPreAssessMmrc3">[3] 在平地行走100米左右或数分钟后需要停下来体息</label>
                                            </div>
                                            <div class="radio-box" >
                                                <input type="radio"
                                                       id="patiPreAssessMmrc4"
                                                       th:checked="${retPatientInfo?.patiPreAssess?.get('patiPreAssessMmrc') eq '4'}"
                                                       name="patiPreAssessMmrc" value="4" >
                                                <label for="patiPreAssessMmrc4">[4] 因严重呼吸困难以至于不能离开家，或在穿衣服、脱衣服时出现呼吸困难</label>
                                            </div>
                                        </div>
                                    </div>

                            </form>
                        </div>
                    </div>
                    <div id="tab-7" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiKfAssess-edit" >
                                <header class="form-header h4">肺康复评估</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(421)">6分钟步行试验：是否完成试验</a></label>
                                    <input type="hidden" id="form421" name="form421" th:value="${retPatientInfo?.patiKfAssess?.get('form421')}">
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiKfAssess6MinTestFinish') eq dict.dictValue}"
                                                   th:id="'patiKfAssess6MinTestFinish'+${dict.dictCode}"
                                                   name="patiKfAssess6MinTestFinish" th:value="${dict.dictValue}" >
                                            <label th:for="'patiKfAssess6MinTestFinish'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">圣乔治呼吸问卷评分：</label>
                                    <div class="col-sm-10">
                                        <input name="patiKfAssessBreath" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessBreath')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">自我护理能力量表评分：</label>
                                    <div class="col-sm-10">
                                        <input name="patiKfAssessSelfCare" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessSelfCare')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(427)">医院抑郁焦虑量表评分：</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form427" name="form427" th:value="${retPatientInfo?.patiKfAssess?.get('form427')}">
                                        <input id="formScore427" name="patiKfAssessDepressionAnxiety" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessDepressionAnxiety')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(428)">营养评估评分：</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form428" name="form428" th:value="${retPatientInfo?.patiKfAssess?.get('form428')}">
                                        <input  id="formScore428" name="patiKfAssessNutritionalAssessment" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessNutritionalAssessment')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(426)">医疗社会支持量表：</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form426" name="form426" th:value="${retPatientInfo?.patiKfAssess?.get('form426')}">
                                        <input id="formScore426" name="patiKfAssessMedicalSocialSupport" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalSocialSupport')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">生活质量测定量表：</label>
                                    <div class="col-sm-10">
                                        <input name="patiKfAssessQualityLife" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessQualityLife')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <header class="form-header h4 zhiQiGuanYan">支气管哮喘评估</header>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(429)">Epworth嗜睡量表：</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form429" name="form429" th:value="${retPatientInfo?.patiKfAssess?.get('form429')}">
                                        <input id="formScore429" name="patiKfAssessMedicalEpworth" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalEpworth')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(430)">匹兹堡睡眠质量指数量表（PSQI）：</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form430" name="form430" th:value="${retPatientInfo?.patiKfAssess?.get('form4430')}">
                                        <input id="formScore430" name="patiKfAssessMedicalPSQI" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalPSQI')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(431)">Hamilton汉密尔顿焦虑量表</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form431" name="form431" th:value="${retPatientInfo?.patiKfAssess?.get('form431')}">
                                        <input id="formScore431" name="patiKfAssessMedicalHamilton" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalHamilton')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(432)">6分钟步行试验登记表</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form432" name="form432" th:value="${retPatientInfo?.patiKfAssess?.get('form432')}">
                                        <input id="formScore432" name="patiKfAssessMedicalSixMin" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalSixMin')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(433)">MoCA量表</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form433" name="form433" th:value="${retPatientInfo?.patiKfAssess?.get('form433')}">
                                        <input id="formScore433" name="patiKfAssessMedicalMoCA" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalMoCA')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(434)">汉密尔顿抑郁量表(24项)</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form434" name="form434" th:value="${retPatientInfo?.patiKfAssess?.get('form434')}">
                                        <input id="formScore434" name="patiKfAssessMedicalHamilton2" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalHamilton2')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(435)">哮喘控制的水平</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form435" name="form435" th:value="${retPatientInfo?.patiKfAssess?.get('form435')}">
                                        <input id="formScore435" name="patiKfAssessMedicalAsthma" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalAsthma')}"  class="form-control"  type="text">
                                    </div>
                                </div>

                                <div class="form-group zhiQiGuanYan">
                                    <label class="col-sm-2 control-label"><a onclick="openForm(436)">营养风险筛查评估表（NRS-2002）</a></label>
                                    <div class="col-sm-10">
                                        <input type="hidden" id="form436" name="form436" th:value="${retPatientInfo?.patiKfAssess?.get('form436')}">
                                        <input id="formScore436" name="patiKfAssessMedicalNutrition" th:value="${retPatientInfo?.patiKfAssess?.get('patiKfAssessMedicalNutrition')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-8" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiPlan-edit" >
                                <header class="form-header h4">诊断依据</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">诊断：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDiagnosis')?:'','1')}"
                                            >
                                            慢性阻塞性肺病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDiagnosis')?:'','2')}"
                                            >
                                            慢性肺源性心脏病
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDiagnosis')?:'','3')}"
                                            >
                                            肺炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPreAssessEchocardiographyAbn')?:'','4')}"
                                            >
                                            肺癌
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPreAssessEchocardiographyAbn')?:'','5')}"
                                            >
                                            心律失常
                                        </label>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">心律失常</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanArrhythmias') eq dict.dictValue}"
                                                   th:id="'patiPlanArrhythmias'+${dict.dictCode}"
                                                   name="patiPlanArrhythmias" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanArrhythmias'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanArrhythmiasY"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','1')}"
                                            >
                                            房颤
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanDiagnosis"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','2')}"
                                            >
                                            房扑
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanArrhythmiasY"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','3')}"
                                            >
                                            心率不齐
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanArrhythmiasY"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','4')}"
                                            >
                                            室性早搏
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanArrhythmiasY"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','5')}"
                                            >
                                            房性早搏
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiPlanArrhythmiasY"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasY')?:'','6')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiPlanArrhythmiasText" th:value="${retPatientInfo?.patiPlan?.get('patiPlanArrhythmiasText')}"  type="text">
                                    </div>
                                </div>

                                <header class="form-header h7">肺功能</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">FEV1(L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanFEV1" th:value="${retPatientInfo?.patiPlan?.get('patiPlanFEV1')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">FEV1/FVC(%)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanFEV1_FVC" th:value="${retPatientInfo?.patiPlan?.get('patiPlanFEV1_FVC')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">气流受限严重程度分级：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('airflow_lev')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanAirflowLev') eq dict.dictValue}"
                                                   th:id="'patiPlanAirflowLev'+${dict.dictCode}"
                                                   name="patiPlanAirflowLev" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanAirflowLev'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">支气管舒张试验：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('native_positive')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanDiastolicTest') eq dict.dictValue}"
                                                   th:id="'patiPlanDiastolicTest'+${dict.dictCode}"
                                                   name="patiPlanDiastolicTest" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanDiastolicTest'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">慢阻肺评估测试CAT评分</header>
                                <table class="table table-bordered">
                                    <thead>
                                    <tr >
                                        <th width="30%">症状</th><th>评分（分)</th><th width="30%">症状</th>
                                    </tr>
                                    </thead>
                                    <tbody>
                                    <tr >
                                        <td >我从不咳嗽</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat1') eq dict.dictValue}"
                                                       th:id="'patiPlanCat1'+${dict.dictCode}"
                                                       name="patiPlanCat1" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat1'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >我总是在咳嗽</td>
                                    </tr>
                                    <tr >
                                        <td >我一点痰也没有</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat2') eq dict.dictValue}"
                                                       th:id="'patiPlanCat2'+${dict.dictCode}"
                                                       name="patiPlanCat2" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat2'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >我有很多很多痰</td>
                                    </tr>
                                    <tr >
                                        <td >当我爬坡或上1层楼梯时，没有气喘的感觉</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat3') eq dict.dictValue}"
                                                       th:id="'patiPlanCat3'+${dict.dictCode}"
                                                       name="patiPlanCat3" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat3'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >当我爬坡或上1层楼梯时，感觉严重喘不过气来</td>
                                    </tr>
                                    <tr >
                                        <td >我在家里能做任何事情</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat4') eq dict.dictValue}"
                                                       th:id="'patiPlanCat4'+${dict.dictCode}"
                                                       name="patiPlanCat4" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat4'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >我在家里做任何事情都很受影响</td>
                                    </tr>
                                    <tr >
                                        <td >尽管我有肺部疾病，但对外出很有信心</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat5') eq dict.dictValue}"
                                                       th:id="'patiPlanCat5'+${dict.dictCode}"
                                                       name="patiPlanCat5" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat5'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >由于我有肺部疾病，对离开家一点信心都没有</td>
                                    </tr>
                                    <tr >
                                        <td >我的睡眠非常好</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat6') eq dict.dictValue}"
                                                       th:id="'patiPlanCat6'+${dict.dictCode}"
                                                       name="patiPlanCat6" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat6'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >由于我有肺部疾病，睡眠相当差</td>
                                    </tr>
                                    <tr >
                                        <td >我精力旺盛</td>
                                        <td >
                                            <div class="radio-box" th:each="dict : ${@dict.getType('assess_score')}">
                                                <input type="radio"
                                                       th:checked="${retPatientInfo?.patiPlan?.get('patiPlanCat7') eq dict.dictValue}"
                                                       th:id="'patiPlanCat7'+${dict.dictCode}"
                                                       name="patiPlanCat7" th:value="${dict.dictValue}" >
                                                <label th:for="'patiPlanCat7'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                            </div>
                                        </td>
                                        <td >我一点精力都没有</td>
                                    </tr>
                                    </tbody>
                                </table>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">慢阻肺评估测试CAT评分：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanCatScore" th:value="${retPatientInfo?.patiPlan?.get('patiPlanCatScore')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">mMRC呼吸困难分级：</label>
                                    <div class="col-sm-5">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc0"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanMmrc') eq '0'}"
                                                   name="patiPlanMmrc" value="0" >
                                            <label for="patiPlanMmrc0">[0] 仅在用力运动时才会出现呼吸困难</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc1"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanMmrc') eq '1'}"
                                                   name="patiPlanMmrc" value="1" >
                                            <label for="patiPlanMmrc1">[1] 平地快步行走或步行爬小坡时出现呼吸困难</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc2"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanMmrc') eq '2'}"
                                                   name="patiPlanMmrc" value="2" >
                                            <label for="patiPlanMmrc2">[2] 平地行走时比同龄人慢，需要停下来休息</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc3"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanMmrc') eq '3'}"
                                                   name="patiPlanMmrc" value="3" >
                                            <label for="patiPlanMmrc3">[3] 在平地行走100米左右或数分钟后需要停下来体息</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc4"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanMmrc') eq '4'}"
                                                   name="patiPlanMmrc" value="4" >
                                            <label for="patiPlanMmrc4">[4] 因严重呼吸困难以至于不能离开家，或在穿衣服、脱衣服时出现呼吸困难</label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">mMRC呼吸困难分级得分：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanMmrcScore" th:value="${retPatientInfo?.patiPlan?.get('patiPlanMmrcScore')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">过去一年急性加重并住院次数：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanHospTimes" th:value="${retPatientInfo?.patiPlan?.get('patiPlanHospTimes')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">ABCD分组：</label>
                                    <div class="col-sm-5">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanGroup0"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanGroup') eq '0'}"
                                                   name="patiPlanGroup" value="0" >
                                            <label for="patiPlanGroup0">A组</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanMmrc1"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanGroup') eq '1'}"
                                                   name="patiPlanGroup" value="1" >
                                            <label for="patiPlanMmrc1">B组</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanGroup2"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanGroup') eq '2'}"
                                                   name="patiPlanGroup" value="2" >
                                            <label for="patiPlanGroup2">C组</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanGroup3"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanGroup') eq '3'}"
                                                   name="patiPlanGroup" value="3" >
                                            <label for="patiPlanGroup3">D组</label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">治疗计划</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">门诊治疗</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanOpTreat') eq dict.dictValue}"
                                                   th:id="'patiPlanOpTreat'+${dict.dictCode}"
                                                   name="patiPlanOpTreat" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanOpTreat'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">戒烟指导</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanSmokingCessation') eq dict.dictValue}"
                                                   th:id="'patiPlanSmokingCessation'+${dict.dictCode}"
                                                   name="patiPlanSmokingCessation" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanSmokingCessation'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否需要长期家庭氧疗</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanLongOxygen') eq dict.dictValue}"
                                                   th:id="'patiPlanLongOxygen'+${dict.dictCode}"
                                                   name="patiPlanLongOxygen" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanLongOxygen'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">药物治疗</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" th:each="dict : ${@dict.getType('pat_drug')}">
                                            <input type="checkbox"
                                                   name="patiPlanDrugUse"
                                                   th:value="${dict.dictValue}"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDrugUse')?:'',dict.dictValue)}"
                                            >
                                            [[${dict.dictLabel}]]
                                        </label>
                                        <input name="patiPlanDrugUseText"
                                               th:value="${retPatientInfo?.patiPlan?.get('patiPlanDrugUseText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">门诊就诊费用(元)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanOpFee" th:value="${retPatientInfo?.patiPlan?.get('patiPlanOpFee')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">住院治疗</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanIp') eq dict.dictValue}"
                                                   th:id="'patiPlanIp'+${dict.dictCode}"
                                                   name="patiPlanIp" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanIp'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">住院科室：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanInLoc" th:value="${retPatientInfo?.patiPlan?.get('patiPlanInLoc')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">住院天数(天)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanInDays" th:value="${retPatientInfo?.patiPlan?.get('patiPlanInDays')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">住院费用(元)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanInFee" th:value="${retPatientInfo?.patiPlan?.get('patiPlanInFee')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">医保报销费用(元)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanInInsuFee" th:value="${retPatientInfo?.patiPlan?.get('patiPlanInInsuFee')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">自费费用(元)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiPlanInSelfFee" th:value="${retPatientInfo?.patiPlan?.get('patiPlanInSelfFee')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">住院结局：</label>
                                    <div class="col-sm-5">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanInResult0"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanInResult') eq '0'}"
                                                   name="patiPlanInResult" value="0" >
                                            <label for="patiPlanInResult0">好转</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanInResult1"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanInResult') eq '1'}"
                                                   name="patiPlanInResult" value="1" >
                                            <label for="patiPlanInResult1">未愈</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanInResult2"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanInResult') eq '2'}"
                                                   name="patiPlanInResult" value="2" >
                                            <label for="patiPlanInResult2">死亡</label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">出院医嘱</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">戒烟指导</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanIpSmokingCessation') eq dict.dictValue}"
                                                   th:id="'patiPlanIpSmokingCessation'+${dict.dictCode}"
                                                   name="patiPlanIpSmokingCessation" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanIpSmokingCessation'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否需要长期家庭氧疗</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanIpLongOxygen') eq dict.dictValue}"
                                                   th:id="'patiPlanIpLongOxygen'+${dict.dictCode}"
                                                   name="patiPlanIpLongOxygen" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanIpLongOxygen'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">药物治疗</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanIpDrugTreat') eq dict.dictValue}"
                                                   th:id="'patiPlanIpDrugTreat'+${dict.dictCode}"
                                                   name="patiPlanIpDrugTreat" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanIpDrugTreat'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">所用药物</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" th:each="dict : ${@dict.getType('pat_drug')}">
                                            <input type="checkbox"
                                                   name="patiPlanIpDrugUse"
                                                   th:value="${dict.dictValue}"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanIpDrugUse')?:'',dict.dictValue)}"
                                            >
                                            [[${dict.dictLabel}]]
                                        </label>
                                        <input name="patiPlanIpDrugUseText"
                                               th:value="${retPatientInfo?.patiPlan?.get('patiPlanIpDrugUseText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <header class="form-header h4">康复计划</header>
                                <header class="form-header h4">运动处方</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">缩唇呼吸能否完成：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanPursedLipBreathing') eq dict.dictValue}"
                                                   th:id="'patiPlanPursedLipBreathing'+${dict.dictCode}"
                                                   name="patiPlanPursedLipBreathing" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanPursedLipBreathing'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">腹式呼吸能否完成：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanAbdominalBreathing') eq dict.dictValue}"
                                                   th:id="'patiPlanAbdominalBreathing'+${dict.dictCode}"
                                                   name="patiPlanAbdominalBreathing" th:value="${dict.dictValue}" >
                                            <label th:for="'patiPlanAbdominalBreathing'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">上肢肌力锻炼：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanUpperLimbMuscle" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanUpperLimbMuscle')?:'','1')}">
                                            哑铃
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanUpperLimbMuscle" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanUpperLimbMuscle')?:'','2')}">
                                            弹力带
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">下肢肌力锻炼：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanDownLimbMuscle" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDownLimbMuscle')?:'','1')}">
                                            蹬车
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanDownLimbMuscle" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDownLimbMuscle')?:'','2')}">
                                            深蹲
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanDownLimbMuscle" value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanDownLimbMuscle')?:'','3')}">
                                            跳绳
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">柔韧性锻炼：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanFlexibility" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanFlexibility')?:'','1')}">
                                            太极拳
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanFlexibility" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanFlexibility')?:'','2')}">
                                            呼吸操
                                        </label>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">耐力锻炼：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanEndurance" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanEndurance')?:'','1')}">
                                            慢走
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanEndurance" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanEndurance')?:'','2')}">
                                            慢跑
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanEndurance" value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanEndurance')?:'','3')}">
                                            爬山
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanEndurance" value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanEndurance')?:'','0')}">
                                            其他
                                        </label>
                                        <input name="patiPlanEnduranceText"
                                               th:value="${retPatientInfo?.patiPlan?.get('patiPlanEnduranceText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">营养处方：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanNutrition" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanNutrition')?:'','1')}">
                                            蛋白质
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanNutrition" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanNutrition')?:'','2')}">
                                            碳水
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanNutrition" value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanNutrition')?:'','3')}">
                                            脂肪
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanNutrition" value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanNutrition')?:'','4')}">
                                            维生素
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanNutrition" value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanNutrition')?:'','0')}">
                                            其他
                                        </label>
                                        <input name="patiPlanNutritionText"
                                               th:value="${retPatientInfo?.patiPlan?.get('patiPlanNutritionText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>

                                <div class="form-group">
                                    <label class="col-sm-2 control-label">心理疏导：</label>
                                    <div class="col-sm-8">
                                        <input name="patiPlanPsychological" th:value="${retPatientInfo?.patiPlan?.get('patiPlanPsychological')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">健康宣教：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','1')}">
                                            现场讲解
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','2')}">
                                            现场演示
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','3')}">
                                            小组讨论
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','4')}">
                                            同伴互助学习
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','5')}">
                                            发放学习资料
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','6')}">
                                            参加医护人员科普讲座
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox" name="patiPlanHealthEducation" value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiPlan?.get('patiPlanHealthEducation')?:'','0')}">
                                            其他
                                        </label>
                                        <input name="patiPlanHealthEducationText"
                                               th:value="${retPatientInfo?.patiPlan?.get('patiPlanHealthEducationText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">健康宣教：</label>
                                    <label class="col-sm-2 control-label">健康教育满意度：</label>
                                    <div class="col-sm-5">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanSatisfiedHhealthEducation0"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanSatisfiedHhealthEducation') eq '0'}"
                                                   name="patiPlanSatisfiedHhealthEducation" value="0" >
                                            <label for="patiPlanSatisfiedHhealthEducation0">非常满意</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanSatisfiedHhealthEducation1"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanSatisfiedHhealthEducation') eq '1'}"
                                                   name="patiPlanSatisfiedHhealthEducation" value="1" >
                                            <label for="patiPlanSatisfiedHhealthEducation1">满意</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   id="patiPlanSatisfiedHhealthEducation2"
                                                   th:checked="${retPatientInfo?.patiPlan?.get('patiPlanSatisfiedHhealthEducation') eq '2'}"
                                                   name="patiPlanSatisfiedHhealthEducation" value="2" >
                                            <label for="patiPlanSatisfiedHhealthEducation2">不满意</label>
                                        </div>
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                    <div id="tab-9" class="tab-pane">
                        <div class="panel-body">
                            <div class="row">
                                <div class="col-sm-12 search-collapse">
                                    <form id="formId">
                                        <div class="select-list">
                                            <ul>
                                                <li>
                                                    <label>复诊日期：</label>
                                                    <input type="text" class="time-input" placeholder="请选择复诊日期" name="admDate" id="admDate"/>
                                                </li>
                                                <li>
                                                    <a class="btn btn-primary btn-rounded btn-sm" onclick="addAdm()"><i class="fa fa-plus"></i>&nbsp;添加</a>
                                                </li>
                                            </ul>
                                        </div>
                                    </form>
                                </div>

                                <div class="btn-group-sm" id="toolbar" role="group">
                                </div>
                                <div class="col-sm-12 select-table table-striped">
                                    <table id="bootstrap-table"></table>
                                </div>
                            </div>
                        </div>
                    </div>
                    <div id="tab-10" class="tab-pane">
                        <div class="panel-body">
                            <form class="form-horizontal m" id="form-patiEmAdm-edit" >
                                <header class="form-header h4">急诊就诊记录</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">就诊日期：</label>
                                    <div class="col-sm-10">
                                        <div class="input-group date">
                                            <input name="patiEmAdmDate"
                                                   th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmDate')}"
                                                   class="form-control time-input" placeholder="yyyy-MM-dd" type="text">
                                            <span class="input-group-addon"><i class="fa fa-calendar"></i></span>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">就诊方式</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmWay') eq '1'}"
                                                   id="patiEmAdmWay1"
                                                   name="patiEmAdmWay"
                                                   value="1" >
                                            <label for="patiEmAdmWay1" >自行入院</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmWay') eq '2'}"
                                                   id="patiEmAdmWay2"
                                                   name="patiEmAdmWay"
                                                   value="2" >
                                            <label for="patiEmAdmWay2" >120急救车入院</label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">就诊医院：</label>
                                    <div class="col-sm-10">
                                        <input name="patiEmAdmHosp" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmHosp')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">就诊科室</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '1'}"
                                                   id="patiEmAdmLoc1"
                                                   name="patiEmAdmLoc"
                                                   value="1" >
                                            <label for="patiEmAdmLoc1" >呼吸科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '2'}"
                                                   id="patiEmAdmLoc2"
                                                   name="patiEmAdmLoc"
                                                   value="2" >
                                            <label for="patiEmAdmLoc2" >心内科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '3'}"
                                                   id="patiEmAdmLoc3"
                                                   name="patiEmAdmLoc"
                                                   value="3" >
                                            <label for="patiEmAdmLoc3" >消化科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '4'}"
                                                   id="patiEmAdmLoc4"
                                                   name="patiEmAdmLoc"
                                                   value="4" >
                                            <label for="patiEmAdmLoc4" >肾病科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '5'}"
                                                   id="patiEmAdmLoc5"
                                                   name="patiEmAdmLoc"
                                                   value="5" >
                                            <label for="patiEmAdmLoc5" >胸外科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '6'}"
                                                   id="patiEmAdmLoc6"
                                                   name="patiEmAdmLoc"
                                                   value="6" >
                                            <label for="patiEmAdmLoc6" >普外科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '7'}"
                                                   id="patiEmAdmLoc7"
                                                   name="patiEmAdmLoc"
                                                   value="7" >
                                            <label for="patiEmAdmLoc7" >眼科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '8'}"
                                                   id="patiEmAdmLoc8"
                                                   name="patiEmAdmLoc"
                                                   value="8" >
                                            <label for="patiEmAdmLoc8" >骨科</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLoc') eq '0'}"
                                                   id="patiEmAdmLoc0"
                                                   name="patiEmAdmLoc"
                                                   value="0" >
                                            <label for="patiEmAdmLoc0" >其他</label>
                                        </div>
                                        <input name="patiEmAdmLocText" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLocText')}"   type="text">

                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">主诉：</label>
                                    <div class="col-sm-10">
                                        <input name="patiEmAdmChiefComplaint" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmChiefComplaint')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">诊断：</label>
                                    <div class="col-sm-10">
                                        <input name="patiEmAdmDiagnosis" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmDiagnosis')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <header class="form-header h4">医嘱：</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">门诊治疗</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmOpTreat') eq dict.dictValue}"
                                                   th:id="'patiEmAdmOpTreat'+${dict.dictCode}"
                                                   name="patiEmAdmOpTreat" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmOpTreat'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">药物</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmMed') eq dict.dictValue}"
                                                   th:id="'patiEmAdmMed'+${dict.dictCode}"
                                                   name="patiEmAdmMed" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmMed'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">住院治疗</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmIpTreat') eq dict.dictValue}"
                                                   th:id="'patiEmAdmIpTreat'+${dict.dictCode}"
                                                   name="patiEmAdmIpTreat" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmIpTreat'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">是否进行检查</label>
                                    <div class="col-sm-10">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('sys_yes_no')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmIsInspection') eq dict.dictValue}"
                                                   th:id="'patiEmAdmIsInspection'+${dict.dictCode}"
                                                   name="patiEmAdmIsInspection" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmIsInspection'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">动脉血气分析：</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">PO2（mmhg）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmPO2" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmPO2')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">PCO2（mmhg）：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmPCO2" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmPCO2')}"  class="form-control"  type="text">
                                    </div>
                                    <div class="col-sm-4">
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmPneumaticArtery') eq '1'}"
                                                   id="patiEmAdmPneumaticArtery1"
                                                   name="patiEmAdmPneumaticArtery"
                                                   value="1" >
                                            <label for="patiEmAdmPneumaticArtery1" >I型呼吸衰竭</label>
                                        </div>
                                        <div class="radio-box" >
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmPneumaticArtery') eq '2'}"
                                                   id="patiEmAdmPneumaticArtery2"
                                                   name="patiEmAdmPneumaticArtery"
                                                   value="2" >
                                            <label for="patiEmAdmPneumaticArtery2" >II型呼吸衰竭</label>
                                        </div>
                                    </div>
                                </div>
                                <header class="form-header h4">血常规：</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">红细胞(*109)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmErythrocyte" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmErythrocyte')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">血红蛋白(g/L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmHemoglobin" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmHemoglobin')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">白细胞(*109)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmLeukocyte" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmLeukocyte')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">嗜酸性粒细胞计数(*109)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmEosinophilCount" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmEosinophilCount')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">白蛋白(g/L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmAlbumin" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmAlbumin')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">血糖(mmol/L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmBloodSugar" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmBloodSugar')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <header class="form-header h4">血脂：</header>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">甘油三酯(mmol/L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmTriglyceride" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmTriglyceride')}"  class="form-control"  type="text">
                                    </div>
                                    <label class="col-sm-2 control-label">总胆固醇(mmol/L)：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmTotalCholesterol" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmTotalCholesterol')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">其他：</label>
                                    <div class="col-sm-2">
                                        <input name="patiEmAdmBloodFatOther" th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmBloodFatOther')}"  class="form-control"  type="text">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">心电图：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogram') eq dict.dictValue}"
                                                   th:id="'patiEmAdmElectrocardiogram'+${dict.dictCode}"
                                                   name="patiEmAdmElectrocardiogram" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmElectrocardiogram'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">异常：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','1')}"
                                            >
                                            电轴右偏
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','2')}"
                                            >
                                            肺型P波
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','3')}"
                                            >
                                            右属支传导组织
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','4')}"
                                            >
                                            房颤
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','5')}"
                                            >
                                            窦性心动过速
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmElectrocardiogramExp"
                                                   value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExp')?:'','0')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiEmAdmElectrocardiogramExppText"
                                               th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmElectrocardiogramExpText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">胸部CT：</label>
                                    <div class="col-sm-7">
                                        <div class="radio-box" th:each="dict : ${@dict.getType('normal_abnormal')}">
                                            <input type="radio"
                                                   th:checked="${retPatientInfo?.patiEmAdm?.get('patiEmAdmCT') eq dict.dictValue}"
                                                   th:id="'patiEmAdmCT'+${dict.dictCode}"
                                                   name="patiEmAdmCT" th:value="${dict.dictValue}" >
                                            <label th:for="'patiEmAdmCT'+${dict.dictCode}" th:text="${dict.dictLabel}"></label>
                                        </div>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">异常：</label>
                                    <div class="col-sm-7">
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="1"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','1')}"
                                            >
                                            慢性支气管炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="2"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','2')}"
                                            >
                                            肺气肿
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="3"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','3')}"
                                            >
                                            肺大泡
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="4"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','4')}"
                                            >
                                            肺炎
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="5"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','5')}"
                                            >
                                            肺占位
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="6"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','6')}"
                                            >
                                            支气管扩张
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="7"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','7')}"
                                            >
                                            肺结核
                                        </label>
                                        <label class="check-box" >
                                            <input type="checkbox"
                                                   name="patiEmAdmCTExp"
                                                   value="0"
                                                   th:checked="${#strings.contains(retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExp')?:'','0')}"
                                            >
                                            其他
                                        </label>
                                        <input name="patiEmAdmCTExpText"
                                               th:value="${retPatientInfo?.patiEmAdm?.get('patiEmAdmCTExpText')}"
                                               type="text"
                                               style="width: 150px">
                                    </div>
                                </div>
                            </form>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row">
        <div class="col-sm-offset-5 col-sm-10">
            <button type="button" class="btn btn-sm btn-primary" onclick="submitHandler()"><i class="fa fa-check"></i>保 存</button>&nbsp;
            <button type="button" class="btn btn-sm btn-danger" onclick="closeItem()"><i class="fa fa-reply-all"></i>关 闭 </button>
        </div>
    </div>
    <th:block th:include="include :: footer" />
    <th:block th:include="include :: datetimepicker-js" />
    <th:block th:include="include :: select2-js" />
    <script th:inline="javascript">
        var patDiaId=$("#patDiaId").val();
        if(patDiaId==2){
            //支气管炎
            $(".manZuFei").hide();
        }else{
            $(".zhiQiGuanYan").hide();
        }
        var prefix = ctx + "disease/patient";
        $("#form-patient-edit").validate({
            focusCleanup: true
        });
        var options = {
            url: ctx + "disease/adm/list?patId="+$("#id").val(),
            createUrl: ctx + "disease/adm/add",
            removeUrl: ctx + "disease/adm/remove",
            updateUrl: ctx + "disease/adminfo/edit/{id}",
            modalName: "复诊",
            columns: [{
                checkbox: true
            },
                {
                    field: 'admId',
                    visible: false
                },
                {
                    field: 'patId',
                    visible: false
                },
                {
                    field: 'patName',
                    title: '患者姓名'
                },
                {
                    field: 'patTel',
                    title: '电话'
                },
                {
                    field: 'patContact',
                    title: '联系人'
                },                {
                    field: 'patContactTel',
                    title: '联系人电话'
                },
                {
                    field: 'admDate',
                    title: '复诊日期'
                },
                {
                    field: 'timeInterval',
                    title: '间隔时间'
                },
                {
                    field: 'admStatus',
                    title: '复诊状态',
                    formatter: function(value, row, index) {
                        if("Y"==value){
                            return "<span class='badge badge-primary'>已复诊</span>"
                        }else{
                            return "<span class='badge badge-danger'>未复诊</span>"
                        }
                    }
                },
                {
                    title: '操作',
                    align: 'center',
                    formatter: function(value, row, index) {
                        var actions = [];
                        actions.push('<a class="btn btn-success btn-xs " href="javascript:void(0)" onclick="$.operate.editTab(\'' + row.admId + '\')"><i class="fa fa-edit"></i>编辑</a> ');
                        actions.push('<a class="btn btn-danger btn-xs " href="javascript:void(0)" onclick="$.operate.remove(\'' + row.admId + '\')"><i class="fa fa-remove"></i>删除</a>');
                        return actions.join('');
                    }
                }]
        };
        $.table.init(options);
        function addAdm(){
            $.operate.postJson(ctx + "disease/adm/add",JSON.stringify({
                "patId":$("#id").val(),
                "admDate":$("#admDate").val(),
                "admStatus":'N',
                "patDiaId":$("#patDiaId").val(),
                "admType":$("#admType").val()
            }))
        }
        function openForm(id){
            $.operate.get(ctx+"form/version/getActiveVersion/"+id,function(data){
                var recordId=$("#form"+id).val();
                if( $.common.isEmpty(recordId)){
                    recordId=0
                }
                var pointer=$("#id").val();
                $.modal.openTab("量表", ctx + "form/display/preview/"+recordId+"/"+data.data.versionId+"/"+pointer);
            })
        }
        //保存量表回调方法
        function saveFormBack(layoutId,recordId,score){
            $("#form"+layoutId).val(recordId);
            if($.common.isNotEmpty(score)){
                $("#formScore"+layoutId).val(score);
            }
        }
        function submitHandler() {
            var patPar={};
            var retPatient={}
            var retPatientInfo={}
            var patiBreath={}
            var patiDrug={}
            var patiAdm={}
            var patiEm={}
            var patiPreAssess={}
            var patiEmAdm={}
            var patiPlan={}
            var patiKfAssess={}
            var patiAsthma={}

            var retPatientArr = $('#form-patient-edit').serializeArray();
            $.each(retPatientArr,function(index,field){
                retPatient[field.name] = field.value;
            })
            retPatientInfo.patiId=$("#infoId").val()
            retPatientInfo.patId=$("#id").val()
            var patiBreathArr = $('#form-patiBreath-edit').serializeArray();
            $.each(patiBreathArr,function(index,field){
                patiBreath[field.name] = field.value;
            })
            var patiDrugArr = $('#form-patiDrug-edit').serializeArray();
            $.each(patiDrugArr,function(index,field){
                if(patiDrug.hasOwnProperty(field.name)){
                    patiDrug[field.name]=patiDrug[field.name]+","+field.value;
                }else{
                    patiDrug[field.name] = field.value;
                }
            })
            var patiAdmArr = $('#form-patiAdm-edit').serializeArray();
            $.each(patiAdmArr,function(index,field){
                patiAdm[field.name] = field.value;
            })
            var patiEmArr = $('#form-patiEm-edit').serializeArray();
            $.each(patiEmArr,function(index,field){
                patiEm[field.name] = field.value;
            })
            var patiPreAssessArr = $('#form-patiPreAssess-edit').serializeArray();
            $.each(patiPreAssessArr,function(index,field){
                if(patiPreAssess.hasOwnProperty(field.name)){
                    patiPreAssess[field.name]=patiPreAssess[field.name]+","+field.value;
                }else{
                    patiPreAssess[field.name] = field.value;
                }
            })
            var patiEmAdmArr = $('#form-patiEmAdm-edit').serializeArray();
            $.each(patiEmAdmArr,function(index,field){
                if(patiEmAdm.hasOwnProperty(field.name)){
                    patiEmAdm[field.name]=patiEmAdm[field.name]+","+field.value;
                }else{
                    patiEmAdm[field.name] = field.value;
                }
            })
            var patiPlanAdmArr = $('#form-patiPlan-edit').serializeArray();
            $.each(patiPlanAdmArr,function(index,field){
                if(patiPlan.hasOwnProperty(field.name)){
                    patiPlan[field.name]=patiPlan[field.name]+","+field.value;
                }else{
                    patiPlan[field.name] = field.value;
                }
            })
            var patiKfAssessArr = $('#form-patiKfAssess-edit').serializeArray();
            $.each(patiKfAssessArr,function(index,field){
                if(patiKfAssess.hasOwnProperty(field.name)){
                    patiKfAssess[field.name]=patiKfAssess[field.name]+","+field.value;
                }else{
                    patiKfAssess[field.name] = field.value;
                }
            })

            var patiAsthmaArr = $('#form-patiAsthma-edit').serializeArray();
            $.each(patiAsthmaArr,function(index,field){
                if(patiAsthma.hasOwnProperty(field.name)){
                    patiAsthma[field.name]=patiAsthma[field.name]+","+field.value;
                }else{
                    patiAsthma[field.name] = field.value;
                }
            })

            retPatientInfo.patiKfAssess=patiKfAssess
            retPatientInfo.patiPlan=patiPlan
            retPatientInfo.patiEmAdm=patiEmAdm
            retPatientInfo.patiPreAssess=patiPreAssess
            retPatientInfo.patiEm=patiEm
            retPatientInfo.patiAdm=patiAdm
            retPatientInfo.patiDrug=patiDrug
            retPatientInfo.patiBreath=patiBreath
            retPatientInfo.patiAsthma=patiAsthma
            retPatientInfo.patDiaId=$("#patDiaId").val()

            patPar.retPatient=retPatient
            patPar.retPatientInfo=retPatientInfo
            if ($.validate.form()) {
                $.operate.postJson(prefix + "/edit",JSON.stringify(patPar),function (result){
                    $.operate.successTabCallback(result);
                })
            }
        }
    </script>
</body>
</html>